NPI | 1548806110 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: FL PU9429) |
Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS57139) |
Enumeration Date | 2019-11-19 |
Last Update Date | 2023-07-21 |